Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg
Aim. In two German regions with 11.1 million inhabitants, 6 networks for specialized treatment of DFS were implemented until 2008. Data provided for accounting purposes was analysed in order to determine changes in the rate of diabetics requiring amputations in the years before and after the impleme...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/6247045 |
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| _version_ | 1832562025708912640 |
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| author | Melanie May Sebastian Hahn Claudia Tonn Gerald Engels Dirk Hochlenert |
| author_facet | Melanie May Sebastian Hahn Claudia Tonn Gerald Engels Dirk Hochlenert |
| author_sort | Melanie May |
| collection | DOAJ |
| description | Aim. In two German regions with 11.1 million inhabitants, 6 networks for specialized treatment of DFS were implemented until 2008. Data provided for accounting purposes was analysed in order to determine changes in the rate of diabetics requiring amputations in the years before and after the implementation. Method. Data covering 2.9 million people insured by the largest insurance company between 2007 and 2013 was analysed by the use of log-linear Poisson regression adjusted for age, gender and region. Results. The rate of diabetics needing major amputations fell significantly by 9.5% per year (p<0.0001) from 217 to 126 of 100,000 patients per year. The rate of diabetics needing amputations of any kind fell from 504 to 419 of 100,000 patients per year (p=0.0038). Discussion. The networks integrate health care providers in an organised system of shared care. They educate members of the medical community and the general public. At the same time, a more general disease management program for people with diabetes was implemented, which may also have contributed to this decrease. At the end of the observation period, the rate of diabetics requiring amputations was still high. For this reason, further expansion of organised specialized care is urgently needed. |
| format | Article |
| id | doaj-art-0572c1cced0a4251ab7408c77d44ed96 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-0572c1cced0a4251ab7408c77d44ed962025-02-03T01:23:32ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/62470456247045Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/HamburgMelanie May0Sebastian Hahn1Claudia Tonn2Gerald Engels3Dirk Hochlenert4AOK Rheinland/Hamburg, Die Gesundheitskasse, Unternehmensbereich Ambulante Versorgung, Geschäftsbereich Selektivverträge, Kasernenstrasse 61, 40213 Düsseldorf, GermanyAOK Rheinland/Hamburg, Die Gesundheitskasse, Unternehmensbereich M-RSA/Finanzen/Controlling, Geschäftsbereich Controlling, Kasernenstrasse 61, 40213 Düsseldorf, GermanyAOK Rheinland/Hamburg, Die Gesundheitskasse, Unternehmensbereich Ambulante Versorgung, Geschäftsbereich Selektivverträge, Kasernenstrasse 61, 40213 Düsseldorf, GermanyChirurgische Praxis am Bayenthalgürtel, Bayenthalgürtel 45, 50968 Köln, GermanyCentrum für Diabetologie, Endoskopie und Wundheilung, Merheimer Strasse 217, 50733 Köln, GermanyAim. In two German regions with 11.1 million inhabitants, 6 networks for specialized treatment of DFS were implemented until 2008. Data provided for accounting purposes was analysed in order to determine changes in the rate of diabetics requiring amputations in the years before and after the implementation. Method. Data covering 2.9 million people insured by the largest insurance company between 2007 and 2013 was analysed by the use of log-linear Poisson regression adjusted for age, gender and region. Results. The rate of diabetics needing major amputations fell significantly by 9.5% per year (p<0.0001) from 217 to 126 of 100,000 patients per year. The rate of diabetics needing amputations of any kind fell from 504 to 419 of 100,000 patients per year (p=0.0038). Discussion. The networks integrate health care providers in an organised system of shared care. They educate members of the medical community and the general public. At the same time, a more general disease management program for people with diabetes was implemented, which may also have contributed to this decrease. At the end of the observation period, the rate of diabetics requiring amputations was still high. For this reason, further expansion of organised specialized care is urgently needed.http://dx.doi.org/10.1155/2016/6247045 |
| spellingShingle | Melanie May Sebastian Hahn Claudia Tonn Gerald Engels Dirk Hochlenert Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg Journal of Diabetes Research |
| title | Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg |
| title_full | Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg |
| title_fullStr | Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg |
| title_full_unstemmed | Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg |
| title_short | Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg |
| title_sort | decrease in major amputations in diabetics a secondary data analysis by aok rheinland hamburg |
| url | http://dx.doi.org/10.1155/2016/6247045 |
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